Goodiel, Elizabeth Shelly

Goodiel, Elizabeth Shelly is an individual health care provider with primary practice located at 3650 Joseph Siewick Dr Suite 203, Fairfax VA 22033-1710. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Goodiel, Elizabeth Shelly can be contacted via phone (703) 391-1500.

Contact Information

Primary practice address
3650 Joseph Siewick Dr Suite 203 Fairfax VA 22033-1710
Phone: (703) 391-1500
Fax: (703) 860-1549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001074325 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 0024074325 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0001074325 Virginia

Profile Details

NPI number 1194874016
LBN Legal business name Goodiel, Elizabeth Shelly
Credentials C.R.N.F.A,M.S.N.,CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers